File:Modern surgery, general and operative (1914) (14595952749).jpg

Identifier: modernsurgerygen1914daco (find matches)
Title: Modern surgery, general and operative
Year: 1914 (1910s)
Authors: Da Costa, J. Chalmers (John Chalmers), 1863-1933
Subjects: Surgery Surgery, Operative
Publisher: Philadelphia, London, W. B. Saunders company
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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odies of the urethra are impedi-ments. In acute Brights disease in-strmnentation is dangerous, becauseit may be followed by suppressionof lu-ine. The following are furthercontra-indications, as suggested byFoUen Cabot and Henr\^ G. Spooner,in Med. Record, July 11, 1903:When it is ob\dous that operativeinter\ention would be useless; whenthere is a large tumor; in acutecystitis; in tuberculosis in whichthe diagnosis is e\ddent without thecystoscope. In women, pelvic adhe-sions and large exudates may inter-fere with CN^stoscopy. Technic of Cystoscopy.—^The patient should, if possible, be carefully soundedonce a day for several days previous to the cystoscopic examination; this estab-lishes tolerance of the urethra. He should be placed upon a suitable table,such as that de\ised by Tilden Brown or Bransford Lewis, as sho-vsTi in Fig. 868. The urethra is cleaned by irrigation with salt solution. General anesthe-sia is rarely necessary provided the operator is gentle in his manipiilations.
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Fig. 866.—Different types of ureteral cathe-ters: a, Blasucci; b, return flow for irrigation;c, Garceau; d, another type of Blasucci; e, Cun-ningham; /, olivary tipped; g, x-ray whistle tip. 1304 Diseases and Injuries of the Genito-urinary Organs There are, however, some hypersensitive urethras which it is necessary toanesthetize. Cocainization of the urethra will usually be efi&cient. This iscarried out by instillation through the Keyes-Ultzmann syringe or, better,through a soft-rubber catheter into the posterior portion of the canal of

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